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0876,fyyd, �"ryly.gy�'�fiN)Ii`5� "y y r'�-"rrtiX:_•:M:_it"� f'.±a•Y'-i:�i'rk�r,"�3'i.��:+�t''''ij��%, +y3 e:" ..r•r•crrk.�.f, "�'" rY•rrcFh�• u'4 r 5'• :F' ,�'.,�$'a - ��� ",e",_ y�Y, ,. a�`,�'..,y�,�'', ny't'a.^*9+a, �T. :.?�`'w�. ��t'vs4�I+k+'df•�?:':. �''i�,.;4dF-5iti' '�...:�i.:Y^ipt�/'t r r-•w�.-,-riw•Nrt+.c'r�+rrf•ea:.A%re+w-x+rrar-,..�f-:".rr w r�. xr «» r..� , ... ..+.,r ... w s ......s ... r •a .i+ ..r r. � ,.� �. ,� .� + .r NOTE: o With proper validation this,form constitutes an CITYLA O F o encroachment permit QUINTA APPLICATION FOR PERMIT: PUBLIC WORKS CONSTRUCTION -',(ENCROACHMENT) • E ��,� P. OQEA?.S 17.t 1,0Ai> PF t2l�,t1`T"" _ `,.�', OF.fA$�w • For the . construction of public or, private' curbs, driveways, pavements, sidewalks,, parking lots, sewers, water mains and'other'like public works improvements in connection withrMINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit - Class ,III ' ,DATE: /0 2, + ;Minor.lmprovement Permit'Class IV ' LOCATION OF CONSTRUCTION - ' J. (Street address or Description of'L'ocation) ` PURPOSE,OFCONSTRUCTIONSketch(attach construction,plans�if.appropriate) DESCRIPTION OF CONSTRUCTION r�z3 �GItADr ,1 5Z:' i�y �n'tf LIZ--" "AST, .01'• W`�SN 1{UGTarV ,E�gTa ��FF1=PSDB DIMENSION OF•INSTALLATION OR REMOVAL .h -v N, t 'IDf L -k' Sq,B TG 5q > �g To ' M+ADiSc>ti1 -1-fl A 1 Rf r -r ` • ti - ��' ,. SIZE OF EXCAVATION, IF NEEDED ' +� APPROXIMATE TIME WHEN WORK WILL BEGIN ' 1't�'' 23.-90 • } ' ' APPROXIMATE TIME OF -COMPLETION r �IA�L `,-� (0 _ Z 3- 9O - ESTIMATED CONSTRUCTION COST $- 6 �� ,(Including removal of all.'obstruction, materials, and debris„backfilling, com > • paction and. placing: permanent resurfacing and/or -replacing improvements) In consideration of the-'g"ranting of •this permit, the applicant•,hereby agrees to: ~ ' Indemnify, defend. and`save the City, its authorised agents, officers, representatives and employees; harmless from and against any and all 't penalties, -liabilities or'loss'rewlting from claims or court action and arising out of any accident, loss or damage to persons or property +'+ happening;or occurring -as a proximate result of any work undertaken under the permit granted pursuant to this application., Notify the Administrative Autho�ity.at least twenty-four (24) hours in ad3ance of the'time•when work will be started. -Comply'with all,applicable City -Ordinances, the terms and conditionsrof, the permit and all applicable, rules and regulations of the City of'- La f-La Ouinta and to,pay«for any additional replacement necessary as the result of this work. w - - �«/' //'gyp (/�� jI \�\\j\.y,�j} II/�t �y/ • , - a , Signature of j�oplicaM'Or Agent' Y I��u;�uc� 'w1�;iAl'lr R1I�SCa ". t Name of Applicant (please print) ~' , f ' ; .'°.Business AddressTelephone No. , ' TICtAh11 1 9 -u, -Y 1�i6-7 ;r Name of Contractor and Job Foreman r € 'Business AddressTelephone No. , ' . City'Busiriess Contractor's Licen'se,No.' , L'icense�No. i �n:e �11_tr • "• >. .ti nN SF !L'I }` Applicant's'Irisurance Companys +� Policy•Number 4 4, FEES: .Subdivision Improvement Permit` -'Class III` R ! .Public improvements: 3%'of estimated construction costs ; • ' r -'Private improvements: 361. of estimated construction costs ”-9(1 * qq0 _1 A,• ` Minor Improvement Permit'—Class IV: See attached schedule -.Inspection Fee; `` $ IUIIT' P VALIDATION. ER Permit Fee NO. PERMIT n 7 +'.Penalty•` 4 '''. • r-- �:�..�# �� ' ' •,-• •. - ;• , Cash Deposit Surety Bond ; . .. i' - t ' . DATE APPROVED /0` .. if required ` f `EXPCRATION DATE 3 " "q0 TOTAL:• $-,� �.at `/Q -ZZ -9O . :.: a �, DATE ISSUED Receipt No. A By Received by Date - v Administrative Authority Recorded by F ` TELEPHONE: (619)"564-2246 -�•�.�+�:a•�r 1�w'- yfn"RSr+K++ r w r w. �+ � �� �.. r a: �a r �..o �:s sa o. �. r it e� B..� w. w• r it r.— w — — r — is —. -- sem. .+ — — w w NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: 2 2 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION A ei 1111- /r'2'Ar �t, 4 LK) Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION (r; � '� �r I'— A t, 7?r_f?_ DIMENSION OF INSTALLATION OR REMOVAL It �` IW t,J SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1 0— L ` —9 Z Jfi-I V�Ai1. r_f�A>:�T of Lo asap I N c- "r&t%j cia -ry APPROXIMATE TIME OF COMPLETION Qt�IL��-w- ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. r Signature of Applicant or Agent IAEat0' t.ltlf'_F'P_IMC.� Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. L t" Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements:. 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ J • 00 Received by Date PERMIT VALIDATION PERMIT NO. n 60 DATE APPROVED !0- Z� EXPIRATION DATE /D — " ell DATE ISSUED /U- '9© iAAOM Xffbs r Gt✓f'�- Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 TOTE: lith proper validation Nis form constitutes an ncroaoMent permit . CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCT16N (ENCROACHMENT) For • the construction of .public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit —Class III )ATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Street address or Description of Location) )URPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DIMENSION OF INSTALLATION OR REMOVAL _ SIZE OF EXCAVATION, IF NEEDED to P,&— �s4 - E/ C3 - kb �d► on p a pa• +o rA%c--pbr`t APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION'S Gb ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and deb: -is, backfilling, com- , paction ,and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or lou resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (241 hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quints and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-17.78 Vame of Applicant (please print) Business Address Telephone No. Vame of Contractor. and .fob Foreman Business Address Telephone No. :ontractor's License No. City Business License No. >pplicant's Insurance Company Policy Number :EES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction, costs Minor Improvement Permit — Class IV: See attached schedule ispection Fee ermit Fee malty ash Deposit -Surety Bond required: ; TOTAL: $ ecefpt No. eceived by Date ecorded by NO os -7& PERMIT VALIDATION PERMIT.. NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE:.1619) 564.2246 4 ! ' NUE INC::. VO ENGINEERING, f` . . 2 0 7 79811- CO CLUB-DR 5177 PH. 619 348, •• BEA DUNES, bA t 90-288 Y 92201 19 q D . 1222 i � PAY. TO THE-� ORDER OF ll'_l.�ll�.i w $ 1�l_ DOLLARS 1 - • • j e a r } Indlooth, 44 .x • . 45SOO Fe, St Indio. CA 92201. Y 119,000.20.7li''-l;j 2 2120 2.88 D: 0 3694 399ii'80 r THIS CHEM 18 OEWERED FOR PAYMENT ON TIE ACCOUNTS SHOWN ABOVE. �. ,,fT 4. r "' ' - .. • ` , FSE td. Ik �•` - - f'.' ,r' ._ � r�-4:.t r� f f `, y �, I t • • - yf r + y F - t ` , ., fir' . • + + •' • •+ ' r_ t r x H - r .1 ` . - - +h • y� .E � • ` �,. . ,. ., ! til ^ .. - . + ir , + 4' • �� .. F: - r � , �. x r' ' ♦ SEI • t ^